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1790474336
TANISHA MITRA
SAN ANTONIO, TX
NPI
1790474336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
TANISHA MITRA DO
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-358-4000
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Mailing Address
TANISHA MITRA DO
24260 WOODHAM RD
NOVI, MI 48374-2863
Phone number: 734-776-6015
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